ROCHESTER GENERAL HOSPITAL (NPI# 1164675955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164675955 |
| Entity Type | Organization |
| Organization Name | ROCHESTER GENERAL HOSPITAL |
| Other Organization Name | WMG NEWARK UROLOGY |
| Practice Address |
1202 Driving Park Ave Newark NY 14513-1057 |
| Practice Telephone | 3153592690 |
| Practice Fax Number | 3153592128 |
| Mailing Telephone | 3153592690 |
| Mailing Fax Number | 3153592128 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | PAULA TINCH (SVP-FINANCE) |
| Authorized Official Telephone | 5859221223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00303315 | 05 |
| Other Name | Type Code |
|---|---|
| WMG Newark Urology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255847489 | Rochester General Hospital | Pharmacy | 1425 Portland Ave Bldg 1, Rochester, NY 14621-3011 | 2017-12-26 |
| 1447685342 | Rochester General Hospital | Clinic/Center | 2010 Empire Blvd, Webster, NY 14580-1915 | 2013-09-10 |
| 1508019399 | Rochester General Hospital | Orthopaedic Surgery | 1204 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-24 |
| 1023105376 | Rochester General Hospital | Pharmacy | 1415 Portland Ave Ste 125, Rochester, NY 14621-3039 | 2006-10-06 |
| 1063454619 | Rochester General Hospital | Clinic/Center | 370 Ridge Rd E, Rochester, NY 14621-1208 | 2006-06-11 |
| 1871070409 | Rochester General Hospital | Pharmacy | 1455 E Ridge Rd, Rochester, NY 14621 | 2018-07-26 |
| 1437665833 | Rochester General Hospital | Pharmacy | 77 Sullys Trl, Pittsford, NY 14534 | 2017-12-20 |
| 1518400688 | Rochester General Hospital | Clinical Medical Laboratory | 1425 Portland Ave, Rochester, NY 14621-3001 | 2016-11-22 |
| 1396198651 | Rochester General Hospital | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3001 | 2016-07-21 |
| 1174990303 | Rochester General Hospital | Internal Medicine | 181 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2015-08-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROCHESTER GENERAL HOSPITAL, THE | 1425 Portland Ave, Rochester, NY 14621-3011 |
| Street Address |
1202 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902826837 | Eileen Ersteniuk | Social Worker | 1202 Driving Park Ave, Newark, NY 14513-1086 | 2006-07-21 |
| 1194230490 | Carolyn E. Rhodes | Physician Assistant | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2017-12-08 |
| 1023375011 | Benjamin Jon Nelson | Urology | 1202 Driving Park Ave, Newark, NY 14513 | 2012-04-16 |
| 1427361005 | Newark-wayne Urology Pllc | Urology | 1202 Driving Park Ave, Suite 5, Newark, NY 14513-1057 | 2010-07-23 |
| 1225280910 | Rochester General Hospital | Internal Medicine | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2008-10-14 |
| 1720180540 | John P Delisio | Physician Assistant | 1202 Driving Park Ave, Ste 5, Newark, NY 14513-1057 | 2006-09-02 |
| 1073627337 | Ralph R Madeb | Urology | 1202 Driving Park Ave, Newark, NY 14513-1057 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1407029051 | Ronaldo L. Domingo Md Pa | Urology | 620 Christiana Medical Ctr, Newark, DE 19702-1656 | 2008-04-03 |
| 1679633374 | Peter J Muench Md Pa | Urology | H50 Omega Drive, Newark, DE 19713 | 2006-12-11 |
| 1972617314 | Donald J Lewis | Urology | 1902 Tamarack Rd, Newark, OH 43055 | 2006-08-19 |
| 1457312597 | William Alvin Stallworth | Urology | 1272 W Main St Ste 401, Newark, OH 43055-2056 | 2006-03-29 |
| 1427023639 | Peter J Muench | Urology | H 50 Omega Drive, Newark, DE 19713 | 2006-02-21 |
| 1023375011 | Benjamin Jon Nelson | Urology | 1202 Driving Park Ave, Newark, NY 14513 | 2012-04-16 |
| 1255613576 | Branford Medical Group, PC | Urology | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-09-13 |
| 1427361005 | Newark-wayne Urology Pllc | Urology | 1202 Driving Park Ave, Suite 5, Newark, NY 14513-1057 | 2010-07-23 |
| 1508086554 | Licking Memorial Professional Corporation | Urology | 1272 West Main Street, Bldg 4, Newark, OH 43055-2004 | 2007-05-01 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.